STATE OF FLORIDA

DIVISION OF ADMINISTRATIVE HEARINGS

2015 NOV 2 0 P 12: 3b

STATE OF FLORIDA, AGENCY FOR HEALTH CARE ADMINISTRATION,

Petitioner,

DOAH Case No. 15-3107

vs. Provider No. 211435

Engagement No. NH09-008L

RENDITION NO. : AHCA-\S -o"ltC\ -S-MDA

HARDEE MANOR HEALTHCARE CENTER,

Respondent.

                                                                         I

FINAL ORDER

THE PARTIES resolved all disputed issues and executed a Settlement Agreement. The parties are directed to comply with the terms of the settlement agreement, attached hereto and

DUDEK, SECRETARY

alth Care Administration

Tallahassee, Florida.

Filed November 24, 2015 8:44 AM Division of Administrative Hearings

_,

A PARTY WHO IS ADVERSELY AFFECTED BY THIS FINAL ORDER IS ENTITLED TO A JUDICIAL REVIEW WHICH SHALL BE INSTITUTED BY FILING ONE COPY OF A NOTICE OF APPEAL WITH THE AGENCY CLERK OF AHCA, AND A SECOND COPY ALONG WITH FILING FEE AS PRESCRIBED BY LAW, WITH THE DISTRICT COURT OF APPEAL IN THE APPELLATE DISTRICT WHERE THE AGENCY MAINTAINS ITS HEADQUARTERS OR WHERE A PARTY RESIDES. REVIEW PROCEEDINGS SHALL BE CONDUCTED IN ACCORDANCE WITH THE FLORIDA APPELLATE RULES. THE NOTICE OF APPEAL MUST BE FILED WITHIN 30 DAYS OF RENDITION OF THE ORDER TO BE REVIEWED.

Jeffrey J. Miller, Esq.

Harwell Howard Hyne Gabbert & Manner

333 Commerce St., Ste. 1500

Nashville, TN 37201 (Via U.S. Mail)

Bureau of Health Quality Assurance Agency for Health Care Administration (Interoffice Mail)

Agency for Health Care Administration Bureau of Finance and Accounting (Interoffice Mail)

Justin Senior, Deputy Secretary, Medicaid (Interoffice Mail)

Tom Wallace, Bureau Chief Medicaid Program Finance

Stuart Williams, General Counsel Zainab Day, Medicaid Audit Services Agency for Health Care Administration Agency for Health Care Administration (Interoffice Mail) (Interoffice Mail)

Shena Grantham, Chief Medicaid FFS Counsel

Agency for Health Care Administration (Interoffice Mail)

Steven L. Perry, Assistant Attorney General (Via Interoffice Mail)

State of Florida, Division of Administrative Hearings

The Desoto Building 1230 Apalachee Parkway

Tallahassee, Florida 32399-3060 (Via U.S. Mail)

CERTIFICATE OF SERVICE

I HEREBY CERTIFY that a true and correct copy of the foregoing has been furnished to

the above named addresses by U.S. Mail or Interoffice Mail on this the,

/J.J 2015.

;2tJ day of

oop, Esquire Agency Clerk

State of Florida

Agency for Health Care Administration 2727 Mahan Drive, Building #3

Tallahassee, Florida 32308-5403

(850) 412-3689

Docket for Case No: 15-003107

Orders for Case No: 15-003107